Mark A. Supiano

Effects of intensive versus standard blood pressure control on domain-specific cognitive function: a substudy of the SPRINT randomised controlled trial

The Lancet Neurology · 2020 · 80 citations

<scp>Age‐friendly</scp> care in the Veterans Health Administration: Past, present, and future

Journal of the American Geriatrics Society · 2022 · 31 citations

The Veterans Health Administration (VHA) has long recognized the need for age-friendly care. VHA leadership anticipated the impact of aging World War II veterans on VA healthcare systems and in 1975 developed Geriatric Research, Education, and Clinical Centers (GRECCs) to meet this need. GRECCs catalyzed a series of innovations in geriatric models of care that span the continuum of care, most of which endure. These innovative care models also contributed to the evidence base supporting the prese…

Diverticulitis in Older Adults: A Review of Etiology, Diagnosis, and Management

Journal of the American Geriatrics Society · 2025-02-08 · 6 citations

BACKGROUND: Diverticulitis accounts for over 300,000 hospitalizations annually in the United States and its incidence increases with age. Among older adults, diverticulitis is the fourth leading cause for emergency surgery. Older adults with multimorbidity and geriatric syndromes are often excluded from clinical studies, leaving a gap in the evidence needed to guide management. Here, we provide a clinically oriented review of the diagnosis and management of older adults with diverticulitis throu…

Effect of Initiation and Continuous Adherence to ARBs Versus ACEIs on Risk of Adjudicated Mild Cognitive Impairment or Dementia

The Journals of Gerontology Series A · 2025-02-13 · 6 citations

BACKGROUND: Whether the differing mechanistic effects between angiotensin-2 receptor blockers (ARBs) and angiotensin-converting enzyme inhibitors (ACEIs) on the renin-angiotensin system translate to differential effects on clinical cognitive outcomes is unclear. METHODS: We employed an active comparator, new-user cohort study to emulate a target trial evaluating the per-protocol effect of initiating and continuously adhering to an ARB versus ACEI on adjudicated amnestic mild cognitive impairment…

A Multisite Demonstration of Shared Access to Older Adults’ Patient Portals

JAMA Network Open · 2025-02-25 · 6 citations

Importance: The patient portal has a growing role in health care. Many health systems have implemented shared access functionality in which patients may register a care partner with unique identity credentials to access their portal. Uptake of shared access has been limited. Objective: To examine the outcomes of a multisite demonstration involving organizational strategies associated with registration and use of patient portal shared access. Design, Setting, and Participants: This quality improv…